DR. ANNA NICHOLS


Address: 1611 Nw 12th Ave, Miami, FL 33136-1005
Phone: 3053551122

DR. ANNA NICHOLS (NPI# 1518227594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518227594
Entity Type Individual
Full Name DR. ANNA NICHOLS
Credential M.D., PH.D.
Practice Address 1611 Nw 12th Ave
Miami
FL 33136-1005
Mailing Address 1295 Nw 14th St
Department of Dermatology & Cutaneous Surgery,suite K-m
Miami
FL 33125-1610
Practice Telephone 3053551122
Practice Fax Number 3053551123
Mailing Telephone 3052436735
Mailing Fax Number 3052436191
Enumeration Date 2012-05-23
Last Update Date 2016-06-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207N00000X Dermatology 283246 NY Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology ME127353 FL Allopathic & Osteopathic Physicians

Other Providers ANNA NICHOLS

NPI Name Taxonomy Address Enumeration
1043781172 Anna Alexis Nichols Case Manager/Care Coordinator 216 James St, Seattle, WA 98104-5102 2018-12-16
1265713150 Anna Elizabeth Nichols Audiologist 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 2011-09-06

Office Location

Street Address 1611 NW 12TH AVE
City MIAMI
State FL
Zip Code 33136-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740286251 Karen Chitty Emergency Medicine 1611 Nw 12th Ave, Miami, FL 33136-1005 2005-06-21
1558968263 Natalie Dinger Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-10-06
1306452057 Ryan M Bukhari Dentist 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1467068155 Hussien Touny Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-09-18
1912512310 Clementina Aurora Cabrera Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-09-11
1184237265 Kencya Toussaint Nurse Practitioner 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-28
1568075976 Manuel Molina Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-25
1063025468 Carlos Federico Moral Ortega Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1096 2020-08-25
1770195919 Ezekiel Oluwasayo Ijaopo Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-08-19
1568070258 Virosh Dharmadasa Student in an Organized Health Care Education/Training Program 1611 Nw 12th Ave, Miami, FL 33136-1005 2020-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548875685 Agustina Dirocco Registered Nurse 1611 Ne 12th Ave, Miami, FL 33136 2020-09-15
1093338451 Krizia Amy Vinck Clinical Neuropsychologist 1150 Nw 14th St, Miami, Fl 33136, Miami, FL 33136 2020-05-20
1992327761 Jorge Luis Cardenas Alvarez Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Central Room 600-d, Miami, FL 33136 2020-05-14
1104447036 Denver Steven Pinto Student in an Organized Health Care Education/Training Program 1611 Nw 12 Avenue Jackson Memorial Hospital, West Wing 279 Emergency Radiology, Miami, FL 33136 2020-05-01
1992325724 Dimple Kumar Chanamolu Student in an Organized Health Care Education/Training Program Deptarment of Urology University of Miama Miller School, Crb 1120 Nw 14th Street Suite 1551c, Miami, FL 33136 2020-04-22
1578100996 Alex Aziz Al Khoury Internal Medicine 1120 Nw 14th St. Suite 1112, Miami, FL 33136 2019-12-04
1437708872 Marie Jeanjean Genetic Counselor, MS 1501 Nw 10th Avenue, Brb 334 (m860), Miami, FL 33136 2019-09-09
1710543905 Tal Friehmann Student in an Organized Health Care Education/Training Program Jackson Memorial Hospital, Breast Imaging Dep, 1611 Nw 12 Avenue, Miami, FL 33136 2019-05-14
1285297895 Omar Munoz Student in an Organized Health Care Education/Training Program 1611 Nw 12th Av., Psychiatry Department, Miami, FL 33136 2019-04-18
1902369648 Seyedeh Haleh Amirian Student in an Organized Health Care Education/Training Program 1611 12th Avenue, Holtz Buiding, East Tower, 2169, Miami, FL 33136 2019-04-10
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396380044 Suzanne Marie Smith Dermatology 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 2019-11-15
1376188383 Enchantress Dermatology, Inc. Dermatology 241 Nw 119 Ave, Miami, FL 33182-1329 2019-11-13
1386119097 Katlein Paola De Franca Dermatology 1295 Nw 14th St # Lmk, Miami, FL 33125-1610 2018-10-09
1316328578 Laura-louise Scott Dermatology 1295 Nw 14th St Ste Lmk, Miami, FL 33125-1610 2015-06-13
1629471230 Dorene Niv Dermatology 3431 Ne 1st Ave, Miami, FL 33137-3981 2014-09-27
1518372309 Franz Kerdel Dermatology 3661 S Miami Ave Ste 1005, Miami, FL 33133-4214 2014-06-30
1093145831 Ivan D Camacho Md Pa Dermatology 79 Sw 12 St #3907, Miami, FL 33130-5215 2013-11-14
1861835720 Rivka C Stone Dermatology 1295 Nw 14th St Ste Lmandk, Miami, FL 33125-1610 2013-04-10
1861734584 Alyx Cali Rosen Dermatology 1600 Nw 10th Ave Rm 2023, Miami, FL 33136 2013-03-20
1760750012 Mind Fitness Inc Dermatology 1084 Nw 135th Ct, Miami, FL 33182-2616 2011-12-01
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Competitor

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City MIAMI
Zip Code 33136

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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